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Todd Patrick Boren, M.D.

Obstetrics & Gynecology, Gynecology in Chattanooga, TN. Individual provider (NPI-1).

NPI number1730142340
StatusActive
Last updated in NPPESAug 2, 2012

Details

NPI
1730142340
Entity type
Individual (NPI-1)
Name
Todd Patrick Boren
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 7, 2006
Last updated
Aug 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, GynecologyME90652FLYes

Practice location

102 Central Ave
Chattanooga, TN 37403-1503

Phone 727-385-4644

Mailing address

26 Mountain Orchard Path
Signal Mountain, TN 37377-2663

Phone 727-385-4644

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